Surgical Management of Umbilical and Paraumbilical Hernia in Adults
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 8
Abstract
This was a Prospective observational study of umbilical and paraumbilical hernias in adults. It included patients admitted with umbilical and paraumbilical hernias to the surgical wards from November 2015 to October 2017. 60 patients were selected for the study, of which 36 were females and 24 were males. 6 patients underwent Mayo repair and 35 patients underwent Onlay Mesh repair and 19 patients underwent Sublay mesh repair. The follow up period was between 6 months to 22 months (avg 12 months). In the study period, 60 cases of umbilical and paraumbilical hernias were operated, out of which 32 were umbilical hernias and 28 were paraumbilical hernias. Swelling and pain were the most common modes of presentation. The mean BMI of all patients was 25.7. This substantiates the fact that obesity is a major risk factor in development of these hernias. Most of the females were multiparous increasing the risk of development of hernia. Peroperatively, omentum was the most common content with most cases having adhesions at the neck of the sac. Observations made during the study in the management were: Postoperative incidence of seroma, wound dehiscence and wound infection was higher in Onlay repair and lesser in sublay repair. Hospital stay was lesser in sublay mesh repair along with patient satisfaction. Recurrence was noted in Mayo repair while no recurrence was reported in Mesh repair.
Authors and Affiliations
Dr Vijaykumar. N
Keywords
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